Barents Financial Mechanism Application form

Title of project

Project Duration Start

Project Duration End

The Applicant

Legal name

Business identity code/Registration number of the legal entity

Address

Website address

Legal representative

Name & surname

Position/function

Contact

Name & surname of the contact person

E-mail address

Country code and phone number

Bank account number

(IBAN, SWIFT/BIC)

Short description of the applicant organization

Co-Partner 1

Legal name

Business identity code/Registration number of the legal entity

Address

Website address

Name & surname of the contact person

E-mail address

Country code and phone number

Short description of the Co-partner organization

Co-Partner 2

Legal name

Business identity code/Registration number of the legal entity

Address

Website address

Name & surname of the contact person

E-mail address

Country code and phone number

Short description of the Co-partner organization

Additional Co-partners

Project description

Brief description of the project background. Describe the project objective or purpose. What is the project target group(s)? What is the expected change and/or result the project activities will create?

2000 characters left

Activity plan

Describe the planned activities to reach the project objective

Roles and responsibilities of the partners

Describe, what are the roles and responsibilities of each of the project partners.

How does your project support one or more of the following?

Priorities of the current Barents Euro-Arctic Council (BEAC) Presidency, the Barents Regional Council (BRC) Chairmanship, objectives of the current Barents Program or the Barents working groups.

Communication activities

Describe the planned communication activities that will ensure visibility of the project and its result.

Risk analysis

Description of the risk management during the project implementation. Consider possible internal and external risks. What is the applicant´s ability to coordinate and monitor the implementation of the project? How the sustainability of the project results will be ensured?

Participants text

Participants

This information is collected for statistical reasons.

Participants

Total number of participants

Participants from regions

Region	Number of participants	Number of representatives of indigenous peoples

Age of the participants

0-18 years

18-30 years

Over 30 years

Number of participating organizations

(in addition to project partners)

Project's own indicator(s)

Eligible costs

Travel costs (EUR)

Empty

Sub-contracting (EUR)

Empty

Other direct costs (EUR)

Empty

Personnel costs (EUR)

Empty

Sub-total costs

Empty

Administration costs (EUR)

Including audit report, max 10% of the total eligible costs

Administration costs %

Max 10% of total eligible costs

Total eligible costs

Empty

Specification of cost items

Personnel, travel, sub-contracting, other direct costs. You may upload a detailed budget as an attachment.

Financing plan

Funding requested from the BFM (EUR)

Max 90% of the total eligible costs

%

Max 90% of the total eligible costs

Contribution from the applicant (EUR)

%

Contribution from the Co-partner 1 (EUR)

%

Contribution from the Co-partner 2 (EUR)

%

Contribution from additional Co-partners (EUR)

%

Other sources of co-funding (EUR)

%

Specify other co-funding

Please specify information about who is providing the co-funding

Total funding (EUR)

Empty

Has the project applied/received funding for same type of activities from other sources?

Yes

No

Please, specify

Signature of the Legal representative of the applicant

I agree that all project documents will be stored by the IBS according to GDPR rules.

Name and Surname

Person authorized to enter into legally binding commitment on behalf of the applicant

Required document attachments to the application

Letters of intent from all partners

Project budget